A. T. M. J. PROPERTIES INC. - OFFER TO LEASE PLEASE PRINT BUILDING ADDRESS_______________________________________________________________APT or Unit #__________________ POSSESSION DATE
MONTHLY RENT $
SECURITY DEPOSIT $___________
APPLICANT Last Name: ________________________________First:______________________________Initials:______Birthdate:_________________ Present Address: ______________________________________________________________Tel. Res: ______________________________ Driver’s License: __________________ S.I.N.______________________
Tel. Cell: _____________________________
E-MAIL: ________________________________________ Marital Status:
Single____
Married____
Divorced____
Separated____
Common-Law____
Widow____
Present landlord’s name/and or manager: ___________________________________________Tel. #:________________________________ Is the landlord aware you intend to move? _____________________How long have you lived there? ________________________________ Reason for moving__________________________________________________________________________________________________ Have you ever been convicted of a crime? Are you a smoker? Yes____ or
Yes____
or
No____
No_______
----------------------------------------------------------------------------------------------------------------------------- ------------------------------------------
Car
1-Make: _____________________ Model: _____________________ Year: _______
License #:__________________
2-Make: _____________________ Model: _____________________
License#:___________________
Year: _______
-------------------------------------------------------------------------------------------------------------------------------------- ------------------------------EMPLOYMENT STUDENT APPLICANT Current Employer:
__________________________________________
Years as student: __________________________________
Occupation:
___________________________________________ Name of College/University: _________________________
Phone Number:
___________________________________________ Faculty: _________________________________________
Years Employed:
___________________________________________
Employment Income:
___________________________________________
Bank (Branch):
___________________________________________
_________________________________________
Parents Name and Address: _______________________________________________________________Tel#_______________________ ------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------IT IS UNDERSTOOD THAT ONLY THOSE WHO ARE NAMED ABOVE WILL OCCUPY THE SUITE. NO PETS OR VISITING PETS WILL BE ON THE PREMISES. POST DATED CHEQUES ARE REQUIRED. THE STANDARD FORM OF LEASE FORM 6 (The Residential Tenancies Act, Acts of New Brunswick, 1975, c.R-10.2, s.9) WILL BE USED.
I represent that all the above statements are true and complete and hereby consent to you obtaining factual or investigative information about me or to your procuring or causing to be prepared a credit or consumer report containing credit and personal information about me with respect to this application. Date: _____________________
Referred by:
____________________________ APPLICANT’S SIGNATURE
____________________________________ APPLICANT’S SIGNATURE
Newspaper _______Internet ______Drive by ________Sign _______Tenant________
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-------------------------------------------------------------------------------------------------------------------------------------------------------------------------OFFICE USE ONLY ACCEPTED/REJECTED BY__________________________________________________DATE__________________________________ _________________________________________________________________________________________________________________